Remote Collector

Surgery Partners, Inc•Walnut Creek, CA

1d•Remote

About The Position

ACCOUNTS RECEIVABLE & INSURANCE FOLLOW-UP Manage assigned A/R buckets and maintain productivity standards. Follow up on unpaid, rejected, or denied claims in a timely manner. Submit appeals with appropriate documentation to resolve denials and underpayments. Review EOBs for accuracy and identify payment variances. Monitor timely filing limits and prioritize high-dollar accounts. Identify denial trends and escalate systemic payer issues to leadership. Must have insurance verification knowledge, demonstrate the ability to verify eligibility and benefits, coverage limitations, deductibles, co-insurance, and out of pocket responsibilities. Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service. Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service.

Requirements

Must have 3 years or more of relevant experience to apply. Candidates without the required experience will not be considered.

Responsibilities

Manage assigned A/R buckets and maintain productivity standards.
Follow up on unpaid, rejected, or denied claims in a timely manner.
Submit appeals with appropriate documentation to resolve denials and underpayments.
Review EOBs for accuracy and identify payment variances.
Monitor timely filing limits and prioritize high-dollar accounts.
Identify denial trends and escalate systemic payer issues to leadership.
Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out of pocket responsibilities.
Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service.
Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service.